Links between Tropical Pacific SST and Cholera Incidence in Bangladesh: Role of the Western Tropical and Central Extratropical Pacific

Abstract

Recent studies arising from both statistical analysis and dynamical disease models demonstrate a link between the incidence of cholera, a paradigmatic waterborne bacterial illness endemic to Bangladesh, and the El Niño?Southern Oscillation (ENSO). The physical significance of this relationship was investigated by examining links between the regional climate of Bangladesh and western Pacific sea surface temperatures (SST) associated with ENSO using a pacemaker configuration of the Center for Ocean?Land?Atmosphere Studies atmospheric general circulation model. The global SST response to ENSO SST anomalies in the western Pacific alone is found to be relatively weak and unrealistic when compared to observations, indicating that the global response to ENSO is driven primarily by anomalies in the central and eastern tropical Pacific. Despite the weak global response to western Pacific SST anomalies, however, a signal is found in summer rainfall over India and Bangladesh. Specifically, reduced rainfall typically follows winter El Niño events. In the absence of warm SST anomalies in the eastern Pacific, cold anomalies in the western Pacific produce a La Niña?like response in the model circulation. Cold SST anomalies suppress convection over the western Pacific. Large-scale convergence shifts into the eastern Indian Ocean and modifies the summer monsoon circulation over India and Bangladesh. The probabilistic relationship between Bangladesh rainfall and SST is also explored using a nonparametric statistical technique. Decreased rainfall is strongly associated with cold SST in the western Pacific, while associations between SST and enhanced rainfall are substantially weaker. Also found are strong associations between rainfall and SST in the Indian Ocean in the absence of differences in forcing from the western Pacific. It thus appears that the Indian Ocean may represent an independent source of predictability for the monsoon and cholera risk. Likewise, under certain circumstances, the western Pacific may also exert a significant influence on Bangladesh rainfall and cholera risk.